LUCAS JACOB WAGONER
NPI 1679244263
Specialist/Technologist - Athletic Trainer in Columbia, SC

Q: What is Lucas Wagoner's NPI number?

The NPI number for Lucas Wagoner is 1679244263. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Q: What is Lucas Wagoner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Wagoner was last updated on May 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2021

1300 WHEAT STREET, COLUMBIA, SC 29208(704) 743-6122 Get Directions Write a Review

NPPES record last updated: May 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2023, Sep 23, 2021 (2 updates tracked since 2021).

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About Lucas Jacob Wagoner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS JACOB WAGONER (NPI 1679244263) is an individual athletic trainer provider in Columbia, South Carolina and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1679244263

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameLUCAS JACOB WAGONER

Location Address1300 WHEAT STREETColumbia, SC 29208-0001

Mailing Address3932 Rimer RdConcord, NC 28025-7375 · (704) 743-6122

Phone(704) 743-6122

Sole ProprietorNo

Enumeration DateSeptember 23, 2021

Last NPPES UpdateMay 20, 20232 updates tracked since enumeration

NPPES CertifiedMay 20, 2023

✔ NPI 1679244263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1300 WHEAT STREET, Columbia, SC 29208

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRAULIO ALEJANDRO FLORES ATC

Specialist/Technologist (Athletic Trainer)